Individual provider · Type 1 NPI

Bethelem Chuol Thok

Health Service Psychologist · Grand Island, NE

NPI number 1013877075 Active

Practice location

2208 N Webb Rd # UNITS4
Grand Island, NE 68803-1754

Mailing address

415 S Cherry St Apt H45
Grand Island, NE 68801-1905

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XNone listed

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1013877075

Bethelem Chuol Thok's National Provider Identifier is 1013877075, issued on Nov 13, 2025. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Grand Island, NE. The record was last updated on Nov 19, 2025.